Fill Out Your Nc F 3 Form
The North Carolina Form F-3, also known as the Personal History Statement, is a critical document for individuals pursuing certification as justice officers in North Carolina. This form serves as a vital tool for background investigations and is required to ensure that all candidates meet the stringent standards set by the Sheriffs’ Education and Training Standards Commission. Before initiating the background check process, applicants must complete this form accurately and in full; it should not be used as an initial job application. The questions outlined in the form are designed exclusively to assess the eligibility of candidates for justice officer certification. Various personal details, including citizenship, education history, and family background, are requested to create a comprehensive profile of the applicant. It is also important to note that while providing a Social Security Number is voluntary, omitting it can lead to delays or inaccuracies in processing. Careful attention is needed because any misstatements or omissions may jeopardize eligibility for certification. Lastly, to ensure authenticity, the completed form must be notarized. Prompt and accurate completion of the Form F-3 is essential to facilitate a smooth certification process for aspiring justice officers.
Nc F 3 Example
Form
Revised January 2021
Sheriffs’ Education and Training Standards Commission
North Carolina Department of Justice
Sheriffs’ Standards Division
Telephone: (919)
Fax: (919)
Personal History Statement
Note: This form is not designed for use as an initial application for employment and must not be used for that purpose. Rather, the applicant should complete this form prior to beginning his/her background investigation. This form should only be completed by applicants for the position of a justice officer. It is the determination of the Commission that these questions are necessary in order to fully and adequately evaluate applicants for justice officer certification. These questions are designed to ascertain whether the applicant meets the minimum standards for certification and serves no other purpose.
*The Social Security Number is used to make a positive identification of the applicant and/or law enforcement personnel. DISCLOSURE IS VOLUNTARY. However, failure to provide this information may result in a delay in the processing of application materials and may result in inaccurate records being assigned to you.
FORM
NORTH CAROLINA SHERIFFS' EDUCATION AND TRAINING STANDARDS COMMISSION
PERSONAL HISTORY STATEMENT
INSTRUCTIONS: Fill out this form completely and accurately. If you need extra space, add additional pages and identify the information by item number. All questions must be answered.
NOTE: Any statements are subject to validation and any incorrect statements or omissions may disqualify you from certification. Truthful statements to any item requested will not necessarily exclude you from consideration. This form must be notarized upon completion.
POSITION(S) APPLIED FOR:
Agency |
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Deputy |
Detention Officer |
Telecommunicator |
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Have you previously submitted an application for employment with this agency? |
Yes |
No |
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If YES, approximate date: |
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PERSONAL |
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1. Name: |
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Maiden Name
Other previous last names:
Nicknames or Aliases
Note: If your name was legally changed after the age of 12, please submit documentation showing when that occurred.
2. Social Security |
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3. Present Mailing Address: |
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Permanent Mailing Address |
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Home: |
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Work: |
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Pager: |
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Cell/Mobile |
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4a. Date of Birth: |
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4b. Place of Birth: |
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(City/State/Country) |
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5. Citizenship: |
☐ U.S. Born ☐ U.S. Naturalized |
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☐ Other, specify: |
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1 |
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Note: |
Data solicited in questions 6 and 7 will be utilized for equal employment statistical |
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information purposes only |
6. |
Ethnicity: |
African American |
Asian American |
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Gender: |
Male |
Female |
8.Do you object to wearing a uniform?
9.Do you object to working nights?
10. Do you object to working rotating shifts?
Hispanic |
Caucasian |
Other: |
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Yes |
No |
Yes |
No |
Yes |
No |
11. Do you object to occasionally being away from home overnight and/or for other periods of time to attend
meetings, acquire training or otherwise perform official duties? |
☐ Yes |
☐ No |
EDUCATIONAL
12.Indicate the type of High School you attended:
Traditional ☐ Home School ☐ GED ☐
Distance Learning ☐
Did not attend high school ☐
Other: ____________________________
A. High Schools:
NAME: |
WHEN ATTENDED: |
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STATE: |
DEGREE AWARDED: |
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YEARS COMPLETED: |
MAJOR FIELD: |
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NAME: |
WHEN ATTENDED: |
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CITY: |
GRADUATED: |
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STATE: |
DEGREE AWARDED: |
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YEARS COMPLETED: |
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B. University or Colleges:
NAME: |
WHEN ATTENDED: |
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CITY: |
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DEGREE AWARDED: |
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NAME: |
WHEN ATTENDED: |
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DEGREE AWARDED: |
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YEARS COMPLETED: |
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C. Continuing Education:
NAME: |
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WHEN ATTENDED: |
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GRADUATED: |
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DEGREE AWARDED: |
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YEARS COMPLETED: |
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MAJOR FIELD: |
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NAME: |
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WHEN ATTENDED: |
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RESIDENCES
13. List addresses for the past 10 years starting with present address listed first:
From: To: (MM/YY) (MM/YY)
Address, City, State
County
Landlord
FAMILY HISTORY
NOTE: Questions included in the next section are intended to assist in the conducting of a background investigation and are not intended for use by the employing agency as disqualifying factors for employment as a justice officer
14. Marital Status: |
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Never Married |
Married |
Divorced |
15. Name of Spouse / Former Spouse(s)
Engaged |
Separated |
Widowed
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16. A. Do you have any children born to you, adopted by you, or stepchildren? |
Yes |
No |
B. If Yes, list all of your children below: |
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(1)
(2)
(3)
(4)
(5)
(6)
Name
Birthdate
Relationship
With whom
resides
Phone Number
C. Are you now supporting all these children? |
Yes |
No |
If NO, give details: |
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17. Are there persons, other than your spouse and listed children, who are presently dependent upon you
for support? |
Yes |
No |
If YES, give details: |
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18.Are you related by blood or marriage to any person (s) now employed by this agency? If YES, give name(s) and details:
Yes
No
19. Is any member of your immediate family now in prison/jail or on probation or parole? |
☐ Yes |
☐ No |
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If YES, give name(s) and details: |
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4
FINANCIAL
20.What sources of income other than salary do you have at present?
21.Have you ever been sued with a civil judgment being rendered against you? Please note this includes
repossessions, evictions, executions, etc. |
Yes |
No |
If YES, explain: |
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22. Have you ever declared bankruptcy? |
Yes |
No |
IF YES, explain: |
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23.What is the total amount of all your debts at present?
24.What is the average monthly total of all your bills, payments, and current living expenses?
25.List credit references, including businesses to which you make monthly payments:
Firm / Business
Street Address
City / State
Amount Owing
5
WORK HISTORY
26. Have you ever been denied employment by a criminal justice agency after a conditional offer of
employment was made? |
Yes |
No |
(If Yes, list agency name and reason.) |
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27.Have you ever held a position in any capacity which required certification or licensure from any Commission, Board or Agency established to certify or license that position? (Note: List any such
Commission, Board or Agency, whether in or out of North Carolina.) |
Yes |
No |
27a. If yes, was such certification or license ever suspended, revoked, or any sanctions taken against it by
the issuing authority? |
Yes |
No |
27b. If such certification or license was ever suspended, revoked, and any sanctions taken against it by
the issuing authority, please list the agency's name taking action against the certification or license, date of action, reason for the action, and period of time for the suspension, revocation, or sanction.
28. Have you ever been discharged or requested to resign from any position because of criminal misconduct
or rules violations? |
Yes |
No (If Yes, list employer, |
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29.List all jobs, positions or appointments you have held in the last ten years to include inactive, active, reserve, temporary,
Employer: |
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Address: |
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Job Title: |
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Supervisor’s Name: |
Phone Number: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
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MOS |
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Part Time: |
YRS |
MOS |
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If part time, hours worked per week: |
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Reason for Leaving: |
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Employer: |
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Job Title: |
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Supervisor’s Name: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
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Part Time: |
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If part time, hours worked per week: |
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Reason for Leaving: |
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Employer: |
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Job Title: |
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Supervisor’s Name: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
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Part Time: |
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If part time, hours worked per week: |
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Reason for Leaving: |
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Employer: |
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Job Title: |
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Supervisor’s Name: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
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Part Time: |
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If part time, hours worked per week: |
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Reason for Leaving: |
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Employer: |
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Address: |
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Job Title: |
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Supervisor’s Name: |
Phone Number: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
YRS |
MOS |
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Part Time: |
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If part time, hours worked per week: |
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Reason for Leaving: |
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Employer: |
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Job Title: |
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Supervisor’s Name: |
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Date Employed (MM/YY): |
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Starting Salary: |
Ending or Current Salary: |
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Per: |
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Date Separated (MM/YY): |
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List Major Duties in Order of Importance: |
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Full Time: |
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Part Time: |
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If part time, hours worked per week: |
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Reason for Leaving: |
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If you need more space, attach additional sheets.
Explain periods of unemployment of three months or more, if you do not have a full
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8
MILITARY SERVICE
30. Were you ever in the U.S. Military service or any other military organization? (Even if you served for
only one day, list this service.) |
Yes |
No If YES, complete #31 through #38. If NO, skip to #39. |
31.What was your service number?
32.A. What was the highest rank you held?
B.What was the last rank you held?
33.A. What was the date and location of your first enlistment and/or commission?
B.List all tours of duty where a DD214 was issued.
Branch
Date Entered
Date Released
34. List all stations of assignment including active, reserve and/or National Guard (Attach additional pages if needed.)
Branch
Unit (Company or Ship)
Location
From (MM/YY) TO (MM/YY)
35.What was the date and location of your last discharge from active duty?
36.Have you ever received any of the following types of discharge:
Uncharacterized (includes entry level separations) |
Yes |
No |
Honorable |
Yes |
No |
General (under honorable conditions) |
Yes |
No |
Under other than honorable conditions (includes undesirable) |
Yes |
No |
Bad Conduct discharge |
Yes |
No |
Dishonorable discharge |
Yes |
No |
Dismissal |
Yes |
No |
37.Were you ever court martialed, tried on charges, or the subject of a summary court, deck court,
member of the military, Nation Guard or reserve unit? |
Yes |
No |
If YES, explain what occurred and what type of punishment you received: |
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38.If you are presently a member of the National Guard or any military reserve, give the unit, location, and describe your obligation, and provide your expected date of separation:
9
Form Characteristics
| Fact Name | Details |
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| Form Purpose | This form is used to gather personal history information necessary for a justice officer background investigation. |
| Governing Authority | The form is governed by the Sheriffs’ Education and Training Standards Commission under the North Carolina Department of Justice. |
| Usage Note | This form is not intended for use as an initial job application. |
| Completion Requirement | The form must be completed fully and accurately, with all questions answered. |
| Notarization | Upon completion, the form must be notarized to be valid. |
| Social Security Disclosure | Providing a Social Security Number is voluntary but can impact processing times and record accuracy. |
| Background Investigation | Questions on the form are designed to evaluate whether the applicant meets minimum standards for justice officer certification. |
| Age and Citizenship | Applicants must provide their date and place of birth, as well as their citizenship status. |
| Family Information | Questions relate to marital status, children, and family dependencies for thorough evaluations. |
Guidelines on Utilizing Nc F 3
Completing the NC F-3 form is an important step for applicants pursuing certification as justice officers in North Carolina. It gathers personal history details that will be used during a background investigation. Approaching the form thoroughly and honestly is crucial, as inaccuracies can lead to disqualification from the certification process.
- Read the instructions carefully. Ensure you understand each section before you start filling it out.
- Indicate the position applied for. Check the corresponding box for Deputy, Detention Officer, or Telecommunicator.
- Answer the application history question. If you have previously applied, provide the approximate date.
- Fill out your personal information. Include your name, social security number, mailing addresses, and phone numbers.
- Provide your date and place of birth. Fill in your birth date and the city, state, and country where you were born.
- Indicate your citizenship status. Check the appropriate box for U.S. born, U.S. naturalized, or other, and provide details if necessary.
- Complete questions about ethnicity and gender. Provide your ethnicity and gender, as these are for statistical purposes.
- Answer questions about uniform and shift work preferences. Indicate whether you object to wearing a uniform, working nights, or rotating shifts.
- Address your willingness to travel. Answer whether you object to being away from home overnight for official duties.
- Indicate your educational background. List details about your high school, college, and any continuing education, including names, dates attended, degrees awarded, and fields of study.
- List your residences over the past 10 years. Start with your current address and work backward, providing city, state, and landlord information.
- Provide family history information. Fill in your marital status, spouse details, and children if applicable.
- Answer dependency questions. Indicate if you are supporting any children or other dependents.
- Disclose any family ties to agency employees. List names and details if applicable.
- Complete the section about immediate family in the justice system. Provide names and details if any family member is in prison, jail, or on probation.
- Notarize the completed form. Ensure you have the form notarized before submission.
What You Should Know About This Form
What is the purpose of the NC F 3 form?
The NC F 3 form is a Personal History Statement specifically designed for applicants seeking certification as justice officers in North Carolina. It gathers comprehensive personal, educational, and family information necessary for a thorough background investigation. Importantly, this form is not an initial job application but a crucial step before beginning the evaluation process for suitable candidates.
Who is required to complete the NC F 3 form?
This form must be completed by individuals applying for positions as justice officers, such as deputy sheriffs, detention officers, and telecommunicators. It is essential for ensuring that all candidates meet the necessary standards for certification set by the Sheriffs’ Education and Training Standards Commission.
What information is collected on the NC F 3 form?
The form collects various types of information, including personal details like name, Social Security Number, mailing addresses, and citizenship status. Additionally, it gathers educational background, residence history for the past decade, family history, and any relevant dependencies. This thorough approach helps to build a complete profile of the applicant, facilitating a fair evaluation process.
Is it mandatory to notarize the NC F 3 form?
Yes, the NC F 3 form must be notarized upon its completion. This requirement exists to verify the authenticity of the information provided and to ensure that applicants are fully aware of the details submitted. Failing to notarize the form can delay the background investigation as well as the overall application process.
What should I do if I need more space to fill out the form?
If you find that additional space is needed while completing the form, simply add extra pages and clearly identify the information by item number. It's crucial to answer all questions thoroughly, as any incomplete information may complicate or prolong the evaluation process.
What happens if I provide incorrect information on the NC F 3 form?
Providing incorrect information or failing to disclose requested details can lead to disqualification from certification. While being truthful does not guarantee approval, any omissions or inaccuracies are taken seriously during the background investigation. Therefore, it’s vital to ensure that all answers are accurate and complete before submission.
Common mistakes
Completing the NC F-3 form can be a straightforward process, but several common mistakes can lead to delays or complications in your background investigation. Understanding these pitfalls may help you submit a more accurate and complete application.
One significant error is leaving questions unanswered. The instructions explicitly state that all questions must be answered. This includes providing details in sections regarding your social security number, contact information, and background history. If a question does not apply to you, simply indicate that by writing "N/A" to avoid confusion.
Another frequent oversight involves inaccurate personal information. Make sure your name, address, and other personal details are correct and consistent throughout the form. An inconsistency, such as a different name used on a previous application, can lead to delays in processing or even disqualification.
Some applicants mistakenly provide incomplete or vague descriptions in areas that require specific details, such as educational history or previous employment. It's important to be thorough and provide complete information, including dates and names of institutions or employers. For education, indicate the exact type of degree awarded and your major field.
An error that can carry serious consequences is being dishonest on the form. All statements are subject to validation, and any falsehoods can disqualify you from certification. It's crucial to provide truthful answers, even if they are not favorable. Honesty is always the best policy in these applications.
Not providing documentation when required is another common mistake. If you have legally changed your name after the age of 12, the instructions specify that you must include documentation of that change. Failure to do so might lead to questions about the legitimacy of your application.
Lastly, some people forget to have their forms notarized upon completion. This step is essential because the form must be notarized to be accepted officially. Without this verification, your application may be returned, causing unnecessary delays.
By avoiding these common errors, you can enhance the likelihood of a smooth application process. It's worth taking the time to review your completed form thoroughly before submission. Doing so not only reflects well on you but also helps to facilitate your quest for certification as a justice officer.
Documents used along the form
The completion of the Nc F 3 form is an essential step for individuals aspiring to become justice officers in North Carolina. However, it is often accompanied by other important documents that aid in the thorough vetting process required for certification. Below are five additional forms that frequently work in conjunction with the Nc F 3 form, each serving a specific purpose in the background investigation process.
- Background Investigation Form: This document provides a comprehensive overview of the applicant’s history. It includes details about previous employment, criminal records, and any other pertinent background information that may be critical to the assessment of the applicant's suitability for the role.
- Release of Information Authorization: This form authorizes the prospective employer or commission to obtain personal and sensitive information about the applicant, such as educational and employment records. It ensures that others can release this information, which is essential for conducting a thorough background check.
- Fingerprint Card: Candidates must submit a fingerprint card as part of the application process. This card allows law enforcement agencies to conduct a criminal background check through various national databases, ensuring that all potential disqualifiers are identified.
- Drug Screening Consent Form: Often required for positions within law enforcement, this consent form allows the agency to conduct drug tests. The results can impact the applicant's eligibility for certification and reflect their compliance with workplace expectations.
- Medical Examination Report: A medical examination is typically part of the evaluation process. This report assesses the applicant's health status to ensure they meet the physical requirements necessary for the demanding responsibilities of a justice officer.
Collectively, these forms contribute to a robust evaluation of applicants seeking justice officer certification. They help ensure that those who enter this critical profession uphold the standards of integrity, responsibility, and dedication expected in the field of law enforcement.
Similar forms
- Employment Application Form: This form collects personal information and qualifications from potential employees seeking a position, similar to the NC F 3 form's role in gathering personal history for a background investigation.
- Background Check Authorization Form: Like the NC F 3, this document requires applicants to provide personal details necessary for conducting a thorough background check.
- Personal Reference Form: Similar to the NC F 3, this form asks for contact information about individuals who can vouch for the applicant’s character and qualifications.
- Criminal History Disclosure Form: This document, like the NC F 3, aims to gather information about any criminal record, which is critical for assessing eligibility for a justice officer role.
- Drug Test Consent Form: Both forms involve consent and information disclosure, ensuring that applicants understand testing requirements as part of the certification process.
- Medical Examination Report: Similar to the NC F 3, this report collects health-related information essential for evaluating an applicant's fitness for duty.
- Credit Report Authorization Form: This document requests permission to access an applicant’s financial background, akin to the NC F 3’s deeper dive into personal history for comprehensive evaluation.
- Fingerprinting Release Form: This form facilitates the collection of fingerprints for crime background checks, paralleling the NC F 3's purpose of gathering personal identity information for security assessments.
Dos and Don'ts
When filling out the Nc F 3 form, it's crucial to approach the process with care. Here’s a concise guide detailing ten important do's and don'ts to help ensure everything goes smoothly.
- Do: Read all instructions carefully before starting.
- Do: Fill out the form completely; every question must be answered.
- Do: Provide truthful information; accuracy is key.
- Do: Use additional pages for any extended answers and clearly label each one.
- Do: Include documentation for any name changes after age 12.
- Don't: Skip questions; incomplete forms will delay your application.
- Don't: Use this form as an initial employment application; it's for background checks only.
- Don't: Forget to have the form notarized after completion.
- Don't: Provide false statements; inaccuracies may disqualify your application.
- Don't: Submit the form without double-checking for errors or omissions.
Misconceptions
- Misconception 1: The Nc F 3 form is for initial employment applications.
- Misconception 2: Completing this form is optional for applicants.
- Misconception 3: Providing a Social Security Number on the form is mandatory.
- Misconception 4: Answers to the form's questions will not affect certification chances.
- Misconception 5: This form can be completed by anyone wishing to be a justice officer.
- Misconception 6: The form does not require notarization.
- Misconception 7: Applicants can leave questions unanswered if they wish.
- Misconception 8: Any previous applications for employment do not need to be disclosed.
- Misconception 9: The questions regarding family history are solely for employment decisions.
- Misconception 10: Providing educational information is optional and not critical.
This form is specifically meant for background investigations, not for applying for a job.
Applicants must complete this form as it is required by the Sheriffs’ Standards Division for background evaluations.
While providing your Social Security Number is voluntary, it is important to note that not including it may delay your application process.
Any incorrect statements or omissions can disqualify you from certification, so accuracy is essential.
Only individuals applying for justice officer positions should complete this form.
Notarization of the form upon completion is a necessary step in the process.
All questions on the form must be answered to ensure complete evaluation by the Commission.
If you have previously submitted an application to the agency, you should indicate this on the form.
These questions assist in conducting a thorough background investigation and are not used as disqualifying factors.
Completing the education section fully is vital, as it helps assess your qualifications for certification.
Key takeaways
Here are key takeaways for filling out and using the Nc F 3 form:
- Purpose of the Form: The Nc F 3 form is specifically for applicants seeking the position of a justice officer. It's not intended for initial job applications.
- Complete and Accurate Information: Fill out every section of the form fully and accurately. Any incorrect statements or omissions can disqualify you from certification.
- Notarization Requirement: After completing the form, you must have it notarized. This step is essential for verifying the authenticity of your information.
- Disclosure of Personal Information: While providing your Social Security Number is voluntary, not doing so may delay your application process and cause issues with record accuracy.
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